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JS 44 (TXND Rev.

2/10)
CIVIL COVER SHEET
The JS 44 civil cover sheet and the inIormation contained herein neither replace nor supplement the Iiling and service oI pleadings or other papers as required by law, except as
provided by local rules oI court. This Iorm, approved by the Judicial ConIerence oI the United States in September 1974, is required Ior the use oI the Clerk oI Court Ior the purpose oI
initiating the civil docket sheet. (SEE INSTRUCTIONS ON THE REVERSE OF THE FORM.)
I. (a) PLAINTIFFS DEFENDANTS
(b) County oI Residence oI First Listed PlaintiII County oI Residence oI First Listed DeIendant
(EXCEPT IN U.S. PLAINTIFF CASES) (IN U.S. PLAINTIFF CASES ONLY)
NOTE: IN LAND CONDEMNATION CASES, USE THE LOCATION OF THE
LAND INVOLVED.
(c) Attorney`s (Firm Name, Address, and Telephone Number) Attorneys (II Known)
II. BASIS OF 1URISDICTION (Place an 'X in One Box Only) III. CITIZENSHIP OF PRINCIPAL PARTIES(Place an 'X in One Box Ior PlaintiII
(For Diversity Cases Only) and One Box Ior DeIendant)
1 U.S. Government 3 Federal Question PTF DEF PTF DEF
PlaintiII (U.S. Government Not a Party) Citizen oI This State 1 1 Incorporated or Principal Place 4 4
oI Business In This State
2 U.S. Government 4 Diversity Citizen oI Another State 2 2 Incorporated and Principal Place 5 5
DeIendant
(Indicate Citizenship oI Parties in Item III)
oI Business In Another State
Citizen or Subject oI a 3 3 Foreign Nation 6 6
Foreign Country
IV. NATURE OF SUIT (Place an 'X in One Box Only)
CONTRACT TORTS FORFEITURE/PENALTY BANKRUPTCY OTHER STATUTES
110 Insurance PERSONAL IN1URY PERSONAL IN1URY 610 Agriculture 422 Appeal 28 USC 158 400 State Reapportionment
120 Marine 310 Airplane 362 Personal Injury - 620 Other Food & Drug 423 Withdrawal 410 Antitrust
130 Miller Act 315 Airplane Product Med. Malpractice 625 Drug Related Seizure 28 USC 157 430 Banks and Banking
140 Negotiable Instrument Liability 365 Personal Injury - oI Property 21 USC 881 450 Commerce
150 Recovery oI Overpayment 320 Assault, Libel & Product Liability 630 Liquor Laws PROPERTY RIGHTS 460 Deportation
&EnIorcement oI Judgment Slander 368 Asbestos Personal 640 R.R. & Truck 820 Copyrights 470 Racketeer InIluenced and
151 Medicare Act 330 Federal Employers` Injury Product 650 Airline Regs. 830 Patent Corrupt Organizations
152 Recovery oI DeIaulted Liability Liability 660 Occupational 840 Trademark 480 Consumer Credit
Student Loans 340 Marine PERSONAL PROPERTY SaIety/Health 490 Cable/Sat TV
(Excl. Veterans) 345 Marine Product 370 Other Fraud 690 Other 810 Selective Service
153 Recovery oI Overpayment Liability 371 Truth in Lending LABOR SOCIAL SECURITY 850 Securities/Commodities/
oI Veteran`s BeneIits 350 Motor Vehicle 380 Other Personal 710 Fair Labor Standards 861 HIA (1395II) Exchange
160 Stockholders` Suits 355 Motor Vehicle Property Damage Act 862 Black Lung (923) 875 Customer Challenge
190 Other Contract Product Liability 385 Property Damage 720 Labor/Mgmt. Relations 863 DIWC/DIWW (405(g)) 12 USC 3410
195 Contract Product Liability 360 Other Personal Product Liability 730 Labor/Mgmt.Reporting 864 SSID Title XVI 890 Other Statutory Actions
196 Franchise Injury & Disclosure Act 865 RSI (405(g)) 891 Agricultural Acts
REAL PROPERTY CIVIL RIGHTS PRISONER PETITIONS 740 Railway Labor Act FEDERAL TAX SUITS 892 Economic Stabilization Act
210 Land Condemnation 441 Voting 510 Motions to Vacate 790 Other Labor Litigation 870 Taxes (U.S. PlaintiII 893 Environmental Matters
220 Foreclosure 442 Employment Sentence 791 Empl. Ret. Inc. or DeIendant) 894 Energy Allocation Act
230 Rent Lease & Ejectment 443 Housing/ Habeas Corpus: Security Act 871 IRSThird Party 895 Freedom oI InIormation
240 Torts to Land Accommodations 530 General 26 USC 7609 Act
245 Tort Product Liability 444 WelIare 535 Death Penalty IMMIGRATION 900Appeal oI Fee Determination
290 All Other Real Property 445 Amer. w/Disabilities - 540 Mandamus & Other 462 Naturalization Application Under Equal Access
Employment 550 Civil Rights 463 Habeas Corpus - to Justice
446 Amer. w/Disabilities - 555 Prison Condition Alien Detainee 950 Constitutionality oI
Other 465 Other Immigration State Statutes
440 Other Civil Rights Actions
V. ORIGIN
TransIerred Irom
another district
(speciIy)
Appeal to District
Judge Irom
Magistrate
Judgment
(Place an 'X in One Box Only)
1 Original
Proceeding
2 Removed Irom
State Court
3 Remanded Irom
Appellate Court
4 Reinstated or
Reopened
5 6 Multidistrict
Litigation
7
VI. CAUSE OF ACTION
Cite the U.S. Civil Statute under which you are Iiling (Do not cite jurisdictional statutes unless diversity):

BrieI description oI cause:
VII. REQUESTED IN
COMPLAINT:
CHECK IF THIS IS A CLASS ACTION
UNDER F.R.C.P. 23
DEMAND $ CHECK YES only iI demanded in complaint:
1URY DEMAND: Yes No
VIII. RELATED CASE(S) (See instructions)
PENDING OR CLOSED:
JUDGE DOCKET NUMBER
DATE SIGNATURE OF ATTORNEY OF RECORD
FOR OFFICE USE ONLY
RECEIPT # AMOUNT APPLYING IFP JUDGE MAG. JUDGE
Mirwis, Isaac; Mirwis, Etan; Buchine, Isaac; Buchine, Mark; Jacobson,
Isaac; Weisfeld, Myra
Harris
Tim Gavin; Carrington, Coleman, Sloman, and Blumenthal, LLP; 901 Main
Street, Suite 5500 Dallas, TX 75202; 214-855-3012
Mansfield Independent School District and Texas Association of
Private and Parochial Schools.
Tarrant
First Amendment to the United States Constitution
Application for TRO, preliminary and permanent injunction, declaratory relief re: violation of 1st Amendment rights
03/01/2012 Tim Gavin
Case 3:12-cv-00630-N Document 1-3 Filed 03/01/12 Page 1 of 2 PageID 29
JS 44 Reverse (TXND Rev. 2/10)
INSTRUCTIONS FOR ATTORNEYS COMPLETING CIVIL COVER SHEET FORM 1S 44
Authority For Civil Cover Sheet
The JS 44 civil cover sheet and the inIormation contained herein neither replaces nor supplements the Iilings and service oI pleading or other papers as required
by law, except as provided by local rules oI court. This Iorm, approved by the Judicial ConIerence oI the United States in September 1974, is required Ior the use
oI the Clerk oI Court Ior the purpose oI initiating the civil docket sheet. Consequently, a civil cover sheet is submitted to the Clerk oI Court Ior each civil
complaint Iiled. The attorney Iiling a case should complete the Iorm as Iollows:
I. (a) Plaintiffs-Defendants. Enter names (last, Iirst, middle initial) oI plaintiII and deIendant. II the plaintiII or deIendant is a government agency, use only
the Iull name or standard abbreviations. II the plaintiII or deIendant is an oIIicial within a government agency, identiIy Iirst the agency and then the oIIicial,
giving both name and title.
(b) County oI Residence. For each civil case Iiled, except U.S. plaintiII cases, enter the name oI the countywhere the Iirst listed plaintiII resides at the time
oI Iiling. In U.S. plaintiII cases, enter the name oI the county in which the Iirst listed deIendant resides at the time oI Iiling. (NOTE: In land condemnation cases,
the county oI residence oI the 'deIendant is the location oI the tract oI land involved.)
(c) Attorneys. Enter the Iirm name, address, telephone number, and attorney oI record. II there are several attorneys, list them on an attachment, noting
in this section '(see attachment).
II. 1urisdiction. The basis oI jurisdiction is set Iorth under Rule 8(a), Fed. R. Civ. P., which requires that jurisdictions be shown in pleadings. Place an 'X in
one oI the boxes. II there is more than one basis oI jurisdiction, precedence is given in the order shown below.
United States plaintiII. (1) Jurisdiction based on 28 U.S.C. 1345 and 1348. Suits by agencies and oIIicers oI the United States are included here.
United States deIendant. (2) When the plaintiII is suing the United States, its oIIicers, or agencies, place an 'X in this box.
Federal question. (3) This reIers to suits under 28 U.S.C. 1331, where jurisdiction arises under the Constitution oI the United States, an amendment to the
Constitution, an act oI Congress, or a treatyoI the United States. In cases where the U.S. is a party, the U.S. plaintiII or deIendant code takes precedence, and box
1 or 2 should be marked.
Diversity oI citizenship. (4) This reIers to suits under 28 U. S.C. 1332, where parties are citizens oI diIIerent states. When Box 4 is checked, the citizenship oI the
diIIerent parties must be checked. (See Section III below; Iederal question actions take precedence over diversity cases.)
III. Residence (citizenship) of Principal Parties. This section oI the JS 44 is to be completed iI diversity oI citizenship was indicated above. Mark this
section Ior each principal party.
IV. Nature of Suit. Place an 'X in the appropriate box. II the nature oI suit cannot be determined, be sure the cause oI action, in Section VI below, is
suIIicient to enable the deputy clerk or the statistical clerks in the Administrative OIIice to determine the nature oI suit. II the cause Iits more than one nature oI
suit, select the most deIinitive.
V. Origin. Place an 'X in one oI the seven boxes.
Original Proceedings. (1) Cases which originate in the United States district courts.
Removed Irom State Court. (2) Proceedings initiated in state courts may be removed to the district courts under Title 28 U.S.C., Section 1441. When the petition
Ior removal is granted, check this box.
Remanded Irom Appellate Court. (3) Check this box Ior cases remanded to the district court Ior Iurther action. Use the date oI remand as the Iiling date.
Reinstated or Reopened. (4) Check this box Ior cases reinstated or reopened in the district court. Use the reopening date as the Iiling date.
TransIerred Irom Another District. (5) For cases transIerred under Title 28 U.S.C. Section 1404(a). Do not use this Ior within district transIers or multidistrict
litigation transIers.
Multidistrict Litigation. (6) Check this box when a multidistrict case is transIerred into the district under authorityoI Title 28 U.S.C. Section 1407. When this box
is checked, do not check (5) above.
Appeal to District Judge Irom Magistrate Judgment. (7) Check this box Ior an appeal Irom a magistrate judge`s decision.
VI. Cause of Action. Report the civil statute directly related to the cause oI action and give a brieI description oI the cause. . Do not cite jurisdictional
statutes unless diversity Example U.S. Civil Statute: 47 USC 553
BrieI Description: Unauthorized reception oI cable service
VII. Requested in Complaint. Class Action. Place an 'X in this box iI you are Iiling a class action under Rule 23, Fed. R. Civ. P.
Demand. In this space enter the dollar amount (in thousands oI dollars) being demanded or indicate other demand, such as a preliminary injunction.
Jury Demand. Check the appropriate box to indicate whether or not a jury is being demanded.
VIII. Related Cases. This section oI the JS 44 is used to reIerence cases that are related to this Iiling, iI any. II a related case exists, whether pending or closed,
insert the docket numbers and the corresponding judge names Ior such cases. A case is 'related to this Iiling iI the case: (1) involves some or all oI the same
parties and is based on the same or similar claim; (2) involves the same property, transaction, or event; (3) involves substantially similar issues oI law and Iact;
and/or (4) involves the same estate in a bankruptcy appeal.
Date and Attorney Signature. Date and sign the civil cover sheet.
Case 3:12-cv-00630-N Document 1-3 Filed 03/01/12 Page 2 of 2 PageID 30

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